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DEATH
CERTIFICATE
CLARENCE OSCAR FELTNER
Date 30 March 1952
Cert: 08394
Place of Death: County: Perry City or Town:
Hazard
Length of stay in hospital or community:
Name of Hospital or Institution: Mt. Mary
Usual Residence of Deceased: State: Kentucky County: Knott
City or Town: Rural Street
Address: Cordia
Full Name: Clarence Oscar FELTNER
Date of Death: 30 March 1952
Sex, Color or Race, Marital Status: Male, White, Never married
Date of Birth: 13 October 1944
Age: 08 years
Usual Occupation: Student
Kind of Industry or business: School
Birthplace: Kentucky
Father's Name: Abel FELTNER
Mother's Maiden Name: Maude BROWNING
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Abel FELTNER
Disease or condition directly leading to death: Lobar
pneumonia
Interval between onset and death: 36 hrs.
Due to: (blank)
Other significant conditions: Spastic paraplegia
Date of Operation: (blank)
Major findings for operation: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 29 March 1952 to
30 March 1952, that I
last saw the deceased alive on 30 March 1952, and that death occurred on
the date stated above at 2:55 a.m., from the causes and on the date
stated above.
Date signed: 31 March 1952
Address: Hazard, Ky.
Signature: Ernest Golia, M.D.
Burial, Cremation or Removal: Burial
Date: 31 March 1952
Name of Cemetery or Creamatory: Feltner Cemetery
Location: Cordia, Knott, Kentucky
Date received by local registrar: 03 April 1952
Registrar's Signature: George P. Surer
Funeral director and address: Engle Funeral Home,
Hazard, Ky., Wm. Engle, Jr.
Transcribed by Debbie Tamborski, 20 February 2010 |
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